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Home My WebLink AboutWTR2701876 a, 14-995 Boeing Bldg. 4-41 `6 -- 1 F � x x r p � ^K ol k � Y .',; i. I I +�1 — l9N 6SM3s1P1f J 1'MI VAT F v W kSHINJTOR l OtFAPTMENT OF HEALTH WATER BACTERIOLOGICAL ANALYSIS p —It Inatry UQFLS we"I tO11DwFW,".pie.,it rejected DAR(ALLECTEO "ME COLLECTED COUNTY NAME pH1H t.. .lWtAL. MV YEAH 11�� .7 AM = FM R I I>a TYEM IF PUBLIC SYSTEM.COMPLETE ,1 � I.0 No. k FUME OFSYSTEM I i ) I 1 tt SLMhimaci[ SKRM$YAFII•IIJI MTR MIU iRiRUEt M> _ ! A 1p SAMPLECOLLECTEOBY INYNI SOURCE TYPE I ryCOMMNATgN +( SURFYCE ❑WELL ❑SPPoH6 ❑PUIICNASlDOTHER ysFNO�REPDRi Tp F�M 4 11 NMIn.AEE•eM✓A EO FbMI r IYFI OF b1MMf I 1.O MILKING WATER LN.H�M1MIWeHIWI�TOIM�cMFI CMck He,~. 0 O Fn1Ma0 ❑ MntncRP.Doe,_ L t 11 13..Rp❑JI RNAEWW OU g a RPMRS !—I OTHER ISIMCBYI CKETE IF THE SANUNLE IS A SAMPLE mvY u51Atl Ml PTEVIOU I SAMPLE COLLECTION DATE MARKS'.UI LAEORATOIEY RESULTS PGA LAS M ORLYI --- MPH COLIFORM STD PLATE COUNT SAMPLE NOT TESTED BECAUSE I_ /,I MFN pLUTZ TEST UNSUITABLE SM^FM T.OM Aw ml T,O CMMNHI o.v, ❑ N011n i N COn1a1Mi MF ODIFORM 2_Q tNTC meutnaent IMmTenM Aw InaPF uef.loiMa MRPM PEDAL COLIF 3, F.caaa Depna Q—MPH ❑A'm,F A.❑ POH DPMNG WATER SAMPLES ONLY.THESE RESULTS ARE i $AO54ACTORV ❑UNSATISFACTORv i 6Ef EVER$E OF OMFN CDPV FpR EItPUNATION OF RF SULTS ! wrp yT,ITWE�— RECNVEO Ev 1 C art RE.DPnD J3 L AroPY 11EMMMs I WATER SUPPLIER COPY Rr I J E STATE OF WASHINGTON DEPARTMENT CF HEALTH WATER BACTERIOLOGICAL ANALYSIS 11 mSVUCOOn]ere NI I011oweQ!Ample wtll oe relecb0. DATE COLLECTEO TIME COLLECTED COUNTY NAME .' 0Av YNR I F' a AM ❑ FM K I I11 TYPE OF SYSTEM li RISLIC BYSTEY,COMPLETE 1 �7oM'1l ��I I.D.NO. LL1L112J+.IL—JSJlJ1 3 i ❑INDIVIDUAL i NAME OF SYSTEM �CL SNCNK l .qN I SA N WLL 1 SSILY WMRIWiI RYk NA RLIHdf w ' p m «m m.M..,.,,.. RA C/ram ;- � L DAYww BO,R;7stlWile 1 :,C TaLF.:�Ai.�. �,,�pM ❑SURFACE LY❑wEu ❑SPRING ❑PURCHASEO /�a OT&DArHER "ND REPOMT t0 P"m FUV Nx,r.RONFu W Sp COON f I L L�.. A.Y.`♦ WRMIIHDTdI ��S! 9 TwEw sAAWLP T DWNNINGWATER ❑CMpIm1eOlRemOWI._�TOM�FRHI PIIeCA IIYImNR ❑1 FIb,M 0 Unlmale0 p OIMr 2.❑p RAW SOURCE WATER 3. u NEW CONSTRUCTION or REPAIRS A. OTHER ISPT.�IYI COMPLETE IF THIS SAMPLE IS A CNECIE SAMPLE 1 NEVIOUS I AS MI 1 PREViOUS SAMPLE COLLECTION OATS 11 NMURNS. W-ggs- S4�IFIE /eGa LAEORFITORY RESULTS BOB LAS MINE ONLY) COLIFORM STD PLATE COUNT I SAMPLE HOT TESTED BECAUSE MPIN DILUTION TESL UNSUITASLF ❑ BIRCH Tao Ow Am 1.❑ CMR:;mt arwvm ❑ Not.,R,..Cm M.el MF COUFORM 2 ❑ TNTC Il Imumc,Ml InIMmOUOn Am 1J Wa ucliona lon FOtmb 1 FECAL COL 3.❑ Ecce.A . ❑MPH ❑MF 4.❑ ❑ dim. OR, ERS WATER SAMPLES ONLY.THESE RESULTS ARE SATM3FACTOHY ❑UNSATISFACTORY E REVERSE SIDE OF OWEN COPY FOR EXPLANATION OF RESIA W RD MIE.1MIf RICMVFO— RECOIR®RY I /\ "it REFGITEO L TORV L NRM, WATER SUPPLER COPY t L J I _ DS•r51J•]]rPr81i ' STATE OF WAMNNGTON � DEPANTYENT M SOCIAL AND HEALTH EENYMES � WATER BACTERIOLOGICAL ANALYSIS SAMPLE COLLECTION READ INSTRUCTIONS ON BACK OF GOLDENROD COPY • 11 rnMIUCIIOnS ME HOT 10106416,fWnDl!Will W TSpCNN1. DATE COLLECTED TIME COLLECTED COUNTY NAME VOQQBIw DAv YEAR 14 TYPE OF SYSTEM IF PUBLC SYSTEM.COMPLETE L1BLIC d,uJv INDIVIWAL LD.No. �/ / C; i n L D A , NAME OF SYSTEM • j (11Y OF RUNio" - SvfC'I{,6CA'CN Nnf%SAYPiF CNLL(Cf05•SiFM D3VFx Nlp•NYF WI gtUNIO 'MI z646 SAMPLE COLLECTED BY IHPMI (tT I1 1 t (I, P I lTnR lti1 R (PL,t SWRCE TYPE ❑SURFACE ❑WELL ❑SPRING ❑PURCHASED F CWIINATN]N �b OTHER SEN REPORT TO Ii NIGH uW Fn!Zp caN 1'l`( uF kFNS Ov. U IL1N -mr I)C(1T 2CAU MILL AST �O I '�cr.LL.. wATHPHGTOH ,.-'6(;iG CryP/F`�0!SAYPI! 1.U DRINKING WATER ❑CNIbrM1A01MmdM1'.�.a1Al_Fsl IWA IrNTTenI• ❑ FITIrFE ❑ Un11Y]M b 01NM _ 2. aaa❑aaa------//////RAW SOURCE WATER 3. FNEW CONSTRUCTION bT�ISSRi � 4 OTHER IBPFcrlvl COMPLETE IF THIS SAMPLE IS A CFIECEL SAMPLE PFF V 005 I AB NO •PREVNF<1S SAMPLE COLLECTION DATE REMARKS'. W-4G5 SAlV.rJ1E IcF LNo � 5a�s • t,ASORATONY RSSMETS(FOR lAB YEE ONLYE M COLIFORM STO PLATE CWNT SAMPLE NOT TESTED BECAUSE' As DILUTION TEST UNSUITABLE ❑ U.P.,1.OIO �+Op nu 1.❑ COnllrwnl Growln ❑ No1�n PPPO Conurmr MF COLIfORM $.❑ TNTC ❑ Iroull,cpb InlPrmAlion /U' , ❑ EEEPLFDWIP IMITIrC11.W�NbRbAAO '... ' FECAL COLIF ❑ MPH ❑MF S ❑ ❑ �rW FOR•mrr wssu I NG WATER SAMPLES ONLY,T�IESE RESULTS ARE. ❑SATISFACTORY UNSATISFACTORY • SEE REVERSE SIDE OF GREEN WAY FOR EXPLANATION OF RESULTS LAI Hp p1iE.tRIE 11ECEIHD— REQWEDN 'DATE Rr W) 4.0Mmlw ; r REMARKS Wl.TER SUPPLIER CO►Y IN I J } i I I PLAN REVIEW ROUTTNG SLIP 1 I DATE: APPLICANT; JOB ADDRESS: NATURE OF WORK: TO' Comments Due Comments Due ENGINEERING DIVISION I__I FIRE PREVENTION BUREAU TRAFFIC ENG.DIVISION I_I BUILDING CODE REVIEW II UTILITIES ENG.DIVISION o I_I ZONING i PARKING OTHERS I_I ENERGY CODE Comments or suggestions regarding this application should be provided in writing. Plesea provide comments to the Building Division by 5:00 p.m. on above date. REVIEWING DEPARTMENT/DIVISION I_I APPROVED II APPROVED WITH CONDITIONS .r �__I NOT APPROVED N r 1 _ 4:X ' t DATE 44041 KS 6 gnatura D rector or Aut or s• Rapresentat ve w� :fir. �183 a x. i PLAN REVIEW ROUTING SLIP I DATE- APPLICANT: A6ez f�I r SOB ADDRESS: SCF)n NATURE OF WORK: 12EXJ,S✓O C(lan G---� TO: Comments Due Comments Due I_I ENGINEERING DIVISION II FIRE PREVENTION BUREAU I_I TRAFFIC ENG.DIVISION I_I BUILDING CODE REVIEW II UTILITIES ENG.DIVISION � I_I ZONING i PARKING I_I OTHERS I_I ENERGY CODE Comments or suggestions regarding this application should be provided in writing. Please provide comments to the Building Divisio by 5:00 p.m. on above date. / O REVIEWING DEPARTMENT/DIVISION_ I_I APPROVED—T— I APPROVED WITH CONDITIONS I I NOT APPROVED s,�r c. 3 /IJCfQ ^.A eoJtO ca J.lacrseJ •O-0T.e/If-S 'Oc *care AJG pRrrt,A <<fF rTe NOAPQ .00T./ic� J 2Co✓VT jf oe'r.'"4, (SuT C3) .?ACC TtJ rcorry 7_a4 -6% COrrY J& , )a4eco '46A� YO.rc . -,Vj TOLO S 4 0• .,C-OVCrrr. •ire I.0 IN �vo ,fppet.e FoorK nc.e c.o+ .t,or T .�/► �� /Pubtr.4fleJ KER R;uteJ IlG- 88 I! I 3 i Q DATE ? B gna ure or Director or AuthorIzed Represen at ve 11e3 a'y` Wi �ry � �A {� d n a 4 1 i PLAN REVIEW ROUTING SLIP e• DATE: APPLICANT: Rr`b l ,) 6 JOB ADDRESS: :4_ 111 NATURE OF WORK:�:.0 i ,)A j TO: Comments Due Comments Due I_I ENGINEERING DIVISION I_I FIRE PREVENTION BUREAU I_1 TRAFFIC ENG.DIVISION I_I BUILDING CODE REVIEW I1 UTILITIES ENG.DIVISION ZONING i PARKING I_I OTHERS I_I ENERGY CODE i Comments or suggestions regarding this application should be provided in writing. Please provide comments to the Building Div ion by Sioo p.m. on above date. REVIENING DEPARTMENT/DIVI8ION I_I APPROVED I_i APPROVED WITH CONDITIONS 1 DC I NOT APPROVED yt I y LAX Nnawn B;T•(.. � O uuf a�f aaumr:.,_ ••eMiel.d...anQaMr''T Flaw. .l .lY.�assist . I t". .J WIEII! UIW. 2=X 34 dlsi.�ai ray f1 r:• 3zf►9 \ 1. N"5 1e S14N Dff0v, of W ft*pWaN Couai"&u Plow CSa 1No Noff3 Od Atcaclte ulattafUal . S,,W G•b)( r. 3e6 MaitiNH, NeMeS Rfsafoi.ia AMlAODIT& �//AAAA�f41`ds i fWfissrM44 aM Ise IFaa 9p.9 LEGAL E CRIPTrIO�ND�( " AW*L QSQUA O ADOR OOTAGE of srre, s/a/h r ❑ OTIfER -- � DATE gna urs o rector or u orsRepresentative �� ilu .12...r : a- af•8f i PUBLIC WORKS DEPARTMENT BUILDING DIVISION CITY OF RENTON, WASHINGTON APPLICATION ONLY-UNTIL VALIDATED PERMIT F NUMBER Osasr Location of Work Address ( INSPECTIONS FEES CONSTRUCTION side se.` Storm Sever PERMIT Right-of-Way Construction Sp. Utility Conn. Fee - Water (Public Right-of-Way) Water Latecomer Fees Water Insp./Approval Fees Sp. Utility Conn. Fees - Sever Sever Latecomer Fees Sever Insp./Approval Foss Date Issued Inspection Fees Special Deposit - CASH BOND Expiration Data TOTAL FEE Description of Work snd "=bet of Fast Contractor Budness License Address Bond Telephone IT IS UNDERSTOOD TRkT THE CITY OF RENTON SHALL HE MELD HARMLESS OF ANY AND ALL LIABILITY, DAMAGE OR INJURY ARISING FROM THE PERFORMANCE OF SAID WORK. ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUST BE DONE BY A LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING. CALL 23S-2631 FOR INSPECTION. Call betmomn 0 AN and 9 AN for APPLICANT inspection in afternoons call before 12 Noon the day before for inspection in morning. PUBLIC WORKS DIRE" SPECIFY TIME FOR INSPECTION. CALL 235-2620 for street signs CALL BEFORE YOU DIG BY and lighting. 48-HOUR LOCATORS I -800-424-5$55 ,I 0 � r Y a. I i i M CITY OF RENTON N? 7135 euhlic Works Department Engineering Division Fee Receipt Received of �i 0001322.10.00.15 lr Sanitary Sewer/Storm Water Permits 000/322.40.00.00 Right-of-Way Construction N7. 000/343.20.0000 Right-of-Wsy inspection Fees 401/343.90,00.01 Water Inspection/Approval Fee ". iI 421/388.10.00.10 Special Utility Connection Fee, Water 4211399.10.00.12 Water Latecomer Fee 421/389.10.00,30 Special Assessment District, Water { 401/313.90.00.02 Sewer inspection/Approval Fees _. j 421/38g.10.00.20 Special Utility Connection Fee,Sewer —�- 421/388.10.0C.22 Sewer Latecomer Fee 421/388.IO.00.31 Special.Arue�Qnt D'ystrlicNt, SP. i 604i2J7.00.00.00 SSDec—ul Deposernvaatee Latecomer �1 g�� 604/217.00.00.00 Special Deposit, Cash Bond i �• leldtaw TOTAL Cash ❑ Check +_ ENGINEERING OFFICIAL r. i F 71 PUBLIC WORKS DEPARTMENT BUILDING DIVISION CITY OF RENTON, WASHINGTON PMNIT APPLICATION ONLY- UNTIL VALIDATED 011gmr ) Lmostion of Work Address, a - P,1'=.L V. /.�-rlT^N it • � ,:� •:��':rr•;J/-e:.Jl,/r- I,' A/7"�'N INSPECTIONS FEES , CONSTRUCTION Side Swer Storm Sewer PERMIT Right-of-way Construction Sp. Utility Conn. Fee - Water (Public Bight-of-Way) Water Latecomer Fees^ Water Iamp./Approval Feu SP. Utility Conn. Fees - Sever �,•- ,f/ -.•� Sever Latecomer Feu Savar TRep./Approval Fee. Date Issued Inspection Fees fir• • i. . I Special Deposit - CASH BOND E]tpirat ion DeG TOTAL PBB .'7r7 , • ' Description of Work and Number of Feet r) .' t '+y f)'b•J it,,) :..e.a), l+'V i 1i q Contractor Bualneee Address Bond '0 Telephone IT IS UNDERSTOOD THAT THE CITY OF R£NTON SHALL BE HELD HARMLESS OF ANY AND ALL LIABILITY, DAMAGE OR IMIURY ARISING FROM 1HE PERFORMANCE OF SAID WORK. ANY WORK PERFORMED WITHIN THE RIGHT-OF-WAY OR ON SEWER MAIN MUS- BE DONE BY A LICENSED, BONDED CONTRACTOR. LOCATE UTILITIES BEFORE EXCAVATING. s CALL en1 FOR INSPECTION.between Call betwen B AM and 9 AM [or APPLICANT �wse- a inspection in a[ternoonl call before 12 Moon the day before for inspection in morning. PUBLIC WORKS DIRECTOR SPECIFY TIME FOR INSPECTION. - CALL 235-2620 for street rIgne CALL BEFORE YOU DIG By '• �[ I�,, / �+ . ' y�"' and lighting. 48-HOUR LOCATORS 1-800-424_ 5555 -� k s, CONSTRUCTION PERMIT INFORMATION FORM CITY OF RENTON UTILITY ENGINEERING THE FOLLOWING INFORMATION MUST BE SUPPLIED BEFORE A CONSTRUCTION PERMIT CAN BE ISSUED. MODIFICATIONS a ADDITIONS PROJECT NAME: HOEING BUILDING 4-41 PROJECT NO: W.O./ 88-5463 Address of Site: BOEING PLANT 800 PARU AVENUE N. NO. N4-41 *Legal Description: CONTRACTOR: URBAN CONSTRUCTION CO., INC. ame 715 - 13TH AVENUE SEATTLE WA 321-4292 ress one o. (City Business License o. on o. OWNER OF PROPERTY: Name: THE BOEING COMMERCIAL AIRLINES Address: P_O_ BOX 3707 City: — RFATP:.F WA 9R124 Phone No: 234 d479 CCOTT ARNOUITZ NOTE: A Dre-construction "I in m be re wired rtor to the issuance of a ens rut on e9 rm rct n i wr % ars or sc u ni 9 or amazing. Construction Costst (2% Inspection Fees) Water: ,$ �29.962T34.2�62.00 685.24 599.24 Sanitary Sewar:: NONE Storm Sewer: 17 11].00 342.60 318.60 Street Improvements: (Includes curb, gutter, sidewalk, driveway and paving) NONE a portion o above mprovemen cos s a within R/W7 (for bonding purp*$as, if applicable) a If more room is required, continue on back of form. 1J.C.O5,(A.)MAB:mf 09/09/87 ,